Braden, Geoffrey L

Braden, Geoffrey L is an individual health care provider with primary practice located at 1350 N 500 E , Logan UT 84341-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Braden, Geoffrey L can be contacted via phone (435) 716-1260.

Contact Information

Primary practice address
1350 N 500 E Logan UT 84341-2400
Phone: (435) 716-1260
Fax: (435) 716-1275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD023624E Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 10439358-1205 Utah

Profile Details

NPI number 1275597809
LBN Legal business name Braden, Geoffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275597809 NPPES
Pennsylvania MEDICAID 000851110

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